Healthcare Provider Details

I. General information

NPI: 1265068456
Provider Name (Legal Business Name): ALEXANDRA ERIN CHAMBERS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/19/2020
Last Update Date: 03/19/2020
Certification Date: 03/19/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2946 E BANNER GATEWAY DR
GILBERT AZ
85234-2165
US

IV. Provider business mailing address

4909 N WOODMERE FAIRWAY UNIT 1001
SCOTTSDALE AZ
85251-1698
US

V. Phone/Fax

Practice location:
  • Phone: 484-576-6091
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License NumberS021353
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: